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michal
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48043ab
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01ababa
updates
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summary-of-benefits-paragraphs.txt
CHANGED
@@ -146,20 +146,10 @@ You won’t pay more than $35 for a one-month (up to 30-day) supply of each Part
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including the Select Insulins covered under the Insulin Savings Program as described below. If you receive
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"Extra Help", you will still pay no more than $35 for a one-month supply for each Part D covered insulin.
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Please see your Prescription Drug Guide to find all Part D insulins covered by your plan.
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If you don't receive Extra Help for your drugs, you'll pay
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Initial coverage
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drug costs paid by both you and our plan. Once you reach this amount, you will enter the Coverage Gap.
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Mail Order Cost-Sharing
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Pharmacy options Standard
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Walmart Mail , PillPack
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Other pharmacies are
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available in our network. To find
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pharmacy mail order options go to
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Humana.com/pharmacyfinder
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Preferred
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CenterWell Pharmacy ™
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N/A 30-day supply 90-day supply* 30-day supply 90-day supply*
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Tier 1: Preferred Generic $10 $30 $0 $0
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Tier 2: Generic $20 $60 $0 $0
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including the Select Insulins covered under the Insulin Savings Program as described below. If you receive
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"Extra Help", you will still pay no more than $35 for a one-month supply for each Part D covered insulin.
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Please see your Prescription Drug Guide to find all Part D insulins covered by your plan.
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If you don't receive Extra Help for your drugs, you'll pay a different amount based on
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This plan does not have a deductible for prescription drugs.
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For the Initial coverage, you are responsible to pay for a 30-day supply or a 90-day supply the amount based on the tier of the prescription drug. A prescription drug can be either in tier 1 preferred generic, tier 2 generic, tier 3 preferred brand, tier 4 non-preferred drug, or tier 5 specialty tier. You are responsible to pay for prescription drugs until the total yearly drug costs reach $4,660 . The total yearly drug costs are the total drug costs paid by both you and our plan. Once you reach this amount, you will enter the Coverage Gap.
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There are two different kinds of cost-sharing for prescription drugs, including Mail Order Cost-Sharing and Retail Cost-Sharing. There are two different kinds of Mail Order pharmacy options, Standard and Preferred. The Mail order pharmacy option called Standard includes Walmart Mail, PillPack and other pharmacies that are also available in our network. To find pharmacy mail order options go to Humana.com/pharmacyfinder . The second type of mail order pharmacy option is the Preferred pharmacy option, which includes only the CenterWell Pharmacy.
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N/A 30-day supply 90-day supply* 30-day supply 90-day supply*
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Tier 1: Preferred Generic $10 $30 $0 $0
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Tier 2: Generic $20 $60 $0 $0
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